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Total Results: 5,362 records

Showing results for "lessons learned".

2741. Integrating Clinical Prediction Rules into EHRs to Improve Care, Reduce Waste | Agency for Healthcare Research and Quality
      www.ahrq.gov/funding/grantee-profiles/grtprofile-mcginn.html
      January 01, 2024 - rules, leading to the identification of factors in overtesting for pulmonary embolism and publishing lessons … learned for the field.

2742. Index of CUSP Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/surgery/index-cusp-tools-resources.html
      April 01, 2025 - SSI and MRSA Prevention (DOCX, 395 KB)) A guidance document on recognizing success and sharing the lessons … learned broadly.

2743. Transforming Primary Care Practice | Agency for Healthcare Research and Quality
      www.ahrq.gov/ncepcr/research-transform-primary-care/transform/profile/driscoll.html
      April 01, 2015 - Lessons Learned and Implications for Others Important practices for PCMH leaders included: communicating

2744. Gap Analysis Facilitator's Guide: Appendix C | Agency for Healthcare Research and Quality
      www.ahrq.gov/patient-safety/settings/hospital/candor/modules/facguide3/apc.html
      August 01, 2022 - Are claims and lawsuits tracked and analyzed for lessons learned?        

2745. Opioid Use in Older Adults Compendium of Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/opioids/implementing-what-works/compendium-intro.html
      January 01, 2024 - activities the practice implemented, the tools they used, barriers and facilitators to implementation, lessons … learned, and next steps.

2746. Clinical Decision Support for Chronic Pain Management | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-chronic-pain-management-rti
      August 01, 2024 - These shared decision-making tools were evaluated by assessing impact and lessons learned during the

2747. Designing for Demographics-Optimizing the Usability of Patient Portals | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/designing-demographics-optimizing-usability-patient-portals
      January 01, 2023 - Disseminate standard design and development documents and lessons learned.

2748. Index of CUSP Tools and Resources | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/tools/mrsa-prevention/toolkit/cusp-tools-resources.html
      October 01, 2024 - Prevention Beyond the Unit (DOCX, 397 KB) A guidance document on recognizing success and sharing the lessons … learned broadly.

2749. Central venous catheter guidewire retention: lessons from England's never event database. | PSNet
      psnet.ahrq.gov/issue/central-venous-catheter-guidewire-retention-lessons-englands-never-event-database
      September 15, 2021 - Study Central venous catheter guidewire retention: lessons from England's never event … Central venous catheter guidewire retention: lessons from England's never event database. … Central venous catheter guidewire retention: lessons from England's never event database.

2750. CUSP Toolkit Spread Facilitator Notes | Agency for Healthcare Research and Quality
      www.ahrq.gov/hai/cusp/modules/spread/notes.html
      December 01, 2012 - Essentially, knowledge management and knowledge transfer explore taking lessons learned in one unit and … transferring those lessons to other units to create better ideas that fit with the social system. … significantly—should wait to put the new process in place so they can benefit from the data collected and the lessons … learned by the units that adopted the process earlier

2751. Quantitative and Qualitative Analysis of Medication Errors: The New York Experience (pdf file)
      www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol1/Duthie.pdf
      January 01, 2004 - Results: Qualitative analysis of the RCAs included findings related to lessons learned, emergent themes … The medication panel reviewed the 53 RCAs submitted for lessons that could be shared with the larger … Lessons learned A limitation of the NYPORTS data is that the system fixes proposed often are those … The lessons learned that had the strongest potential for contributing to safety were those extrapolated … learned from fatal or near-fatal errors for patient safety improvements and information sharing.

2752. Flying lessons for clinicians: developing system 2 practice. | PSNet
      psnet.ahrq.gov/issue/flying-lessons-clinicians-developing-system-2-practice
      April 24, 2018 - Commentary Flying lessons for clinicians: developing system 2 practice. … Flying Lessons for Clinicians: Developing System 2 Practice. … Flying Lessons for Clinicians: Developing System 2 Practice. … October 28, 2015 What went right: lessons for the intensivist from the crew of US Airways

2753. Understanding diagnostic errors in medicine: a lesson from aviation. | PSNet
      psnet.ahrq.gov/issue/understanding-diagnostic-errors-medicine-lesson-aviation
      December 30, 2014 - Study Understanding diagnostic errors in medicine: a lesson from aviation. Citation Text: Singh H, Petersen LA, Thomas EJ. Understanding diagnostic errors in medicine: a lesson from aviation. Qual Saf Health Care. 2006;15(3):159-64. Copy Citation Format: Google Scholar Pu…

2754. Final Progress Report: Quality Care and Error Reduction in Rural Hospitals (pdf file)
      www.ahrq.gov/sites/default/files/2024-12/cook-hoas-report.pdf
      January 01, 2024 - final Evaluation Survey of participants allowed us to assess the overall impact of the project and the lessons … learned. … Based on lessons learned from the case studies, the participants engaged their own hospitals in continuing … We learned that knowledge is not enough to change behavior. … From here to there: Lessons from an integrative patient safety project in rural healthcare settings.

2755. Nursing Home IT: Optimal Medication and Care Delivery (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015350-horn-final-report-2008.pdf
      January 01, 2008 - As part of our evaluation we captured lessons learned about factors that lead to successful implementation … 13 • Lessons Learned: How can lessons learned from the project impact future implementation efforts … Lessons Learned Related to HIT Implementation. … learned. … learned.

2756. Applying the Lessons of Social Marketing to a Quality Report | Agency for Healthcare Research and Quality
      www.ahrq.gov/talkingquality/distribute/promote/social-marketing.html
      June 01, 2019 - Applying the Lessons of Social Marketing to a Quality Report Social marketing is the application … Also in "Promote Your Report" Why You Must Promote Your Report Understanding and Using the Lessons

2757. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/47315/psn-pdf
      August 01, 2018 - https://psnet.ahrq.gov/issue/agent-change https://psnet.ahrq.gov/issue/error-management-lessons-aviation

2758. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/860386/psn-pdf
      January 10, 2024 - has happened; learning from the factual; learning from experience; knowing how to learn the right lessons

2759. Psn-Pdf (pdf file)
      psnet.ahrq.gov/node/34599/psn-pdf
      January 30, 2008 - Lessons discussed here can be applied to health care as it seeks to learn from accident investigation

2760. The health information infrastructure in America today . . . . (pdf file)
      hcup-us.ahrq.gov/datainnovations/clinicaldata/AHRQHCUP11182009CSullivanFinal.pdf
      November 01, 2009 - Agency for Health Care Administration Florida Center for Health Information and Policy Analysis Lessons … Learned and Lessons to Learn  Never underestimate the complexity of your data  Never overestimate